NURN 160: METABOLISM: REVIEW QUESTIONS WITH
ACCURATE SOLUTIONS
1) A patient is recovering from a thyroidectomy. The patient starts to complain of
tingling and numbness in the face, toes, and fingers. Which of the following
findings below warrants attention?
A) Ca+ level: 6 mg/dL
B) Na+ level: 145 mg/dL
C) K+ level: 3.5 mg/dL
D) Phosphate level: 4.3 mg/dL -- Answer ✔✔ A. Ca+ level: 6 mg/dL
2) Fill in the blank regarding the negative feedback loop for thyroid hormone
production: The ______________ produces TRH (Thyrotropin-Releasing
Hormone) which causes the anterior pituitary gland to produce
_______________ which in turn causes the thyroid gland to release _______
and _______.
A) Thalamus, CRH (Corticotropin-releasing hormone) TSH (thyroid-
stimulating hormone) and T4
B) Hypothalamus, TSH (thyroid-stimulating hormone), T3 and T4
C) Posterior pituitary gland, TSH (thyroid-stimulating hormone), T3
and T4
D) Hypothalamus, CRH (Corticotropin-releasing hormone), TSH
(thyroid-stimulating hormone), T3 and TSH -- Answer ✔✔ B.
Hypothalamus, TSH (thyroid-stimulating hormone), T3 and T4
,3) A patient reports they do not eat enough iodine in their diet. What condition are
they most susceptible to?
A) Pheochromocytoma
B) Hyperthyroidism
C) Thyroid Storm
D) Hypothyroidism -- Answer ✔✔ D. Hypothyroidism
4) A patient has an extremely high T3 and T4 level. Which of the following signs and
symptoms DO NOT present with this condition?
A) Weight loss
B) Intolerance to heat
C) Smooth, sweaty skin
D) Hair loss -- Answer ✔✔ D. Hair loss
5) A patient is being discharged home for treatment of hypothyroidism. Which
medication is most commonly prescribed for this condition?
A) Methamiazole
B) PTU (Propylthiouracil)
C) levothyroxine
D) Inderal -- Answer ✔✔ C. Levothyroxine
6) You are performing discharge teaching with a patient who is going home on
Synthroid. Which statement by the patient causes you to re-educate the patient
about this medication?
A) "I will take this medication at bedtime with a snack."
B) "I will never stop taking the medication abruptly".
C) "If I have palpitations, chest pain, intolerance to heat, or feel
restless, I will notify the provider".
, D) "I will not take this medication at the same time I take my antacid
-- Answer ✔✔ A. "I will take this medication at bedtime with a
snack."
7) The thyroid hormones, T3 and T4, play many roles in the human body. Which of
the following functions are performed by T3 and T4? Note: Select all that apply
A) Storing calories
B) Increasing the Heart Rate
C) Stimulating the Sympathetic Nervous System
D) Decreasing the body's temperature
E) Controlling tissue use of fats, proteins, and carbohydrates --
Answer ✔✔ B. Increasing the Heart Rate
C. Stimulating the Sympathetic Nervous System
E. Controlling tissue use of fats, proteins, and carbohydrates
8) A patient is admitted with complaints of palpations, excessive sweating, and
unable to tolerate heat. In addition, the patient voices concern about how her
appearance has changed over the past year. The patient presents with protruding
eyeballs and pretibial myxedema on the legs and feet. Which of the following is
the likely cause of the patient's signs and symptoms?
A) Thyroiditis
B) Deficiency of iodine consumption
C) Grave's Disease
D) Hypothyroidism -- Answer ✔✔ C. Grave's Disease
9) A patient who is in her first trimester of pregnancy is diagnosed with
hyperthyroidism. Which medication do you suspect the patient will be started
on?
A) Propylthiouracil (PTU)
B) Radioactive Iodine
C) Tapazole
ACCURATE SOLUTIONS
1) A patient is recovering from a thyroidectomy. The patient starts to complain of
tingling and numbness in the face, toes, and fingers. Which of the following
findings below warrants attention?
A) Ca+ level: 6 mg/dL
B) Na+ level: 145 mg/dL
C) K+ level: 3.5 mg/dL
D) Phosphate level: 4.3 mg/dL -- Answer ✔✔ A. Ca+ level: 6 mg/dL
2) Fill in the blank regarding the negative feedback loop for thyroid hormone
production: The ______________ produces TRH (Thyrotropin-Releasing
Hormone) which causes the anterior pituitary gland to produce
_______________ which in turn causes the thyroid gland to release _______
and _______.
A) Thalamus, CRH (Corticotropin-releasing hormone) TSH (thyroid-
stimulating hormone) and T4
B) Hypothalamus, TSH (thyroid-stimulating hormone), T3 and T4
C) Posterior pituitary gland, TSH (thyroid-stimulating hormone), T3
and T4
D) Hypothalamus, CRH (Corticotropin-releasing hormone), TSH
(thyroid-stimulating hormone), T3 and TSH -- Answer ✔✔ B.
Hypothalamus, TSH (thyroid-stimulating hormone), T3 and T4
,3) A patient reports they do not eat enough iodine in their diet. What condition are
they most susceptible to?
A) Pheochromocytoma
B) Hyperthyroidism
C) Thyroid Storm
D) Hypothyroidism -- Answer ✔✔ D. Hypothyroidism
4) A patient has an extremely high T3 and T4 level. Which of the following signs and
symptoms DO NOT present with this condition?
A) Weight loss
B) Intolerance to heat
C) Smooth, sweaty skin
D) Hair loss -- Answer ✔✔ D. Hair loss
5) A patient is being discharged home for treatment of hypothyroidism. Which
medication is most commonly prescribed for this condition?
A) Methamiazole
B) PTU (Propylthiouracil)
C) levothyroxine
D) Inderal -- Answer ✔✔ C. Levothyroxine
6) You are performing discharge teaching with a patient who is going home on
Synthroid. Which statement by the patient causes you to re-educate the patient
about this medication?
A) "I will take this medication at bedtime with a snack."
B) "I will never stop taking the medication abruptly".
C) "If I have palpitations, chest pain, intolerance to heat, or feel
restless, I will notify the provider".
, D) "I will not take this medication at the same time I take my antacid
-- Answer ✔✔ A. "I will take this medication at bedtime with a
snack."
7) The thyroid hormones, T3 and T4, play many roles in the human body. Which of
the following functions are performed by T3 and T4? Note: Select all that apply
A) Storing calories
B) Increasing the Heart Rate
C) Stimulating the Sympathetic Nervous System
D) Decreasing the body's temperature
E) Controlling tissue use of fats, proteins, and carbohydrates --
Answer ✔✔ B. Increasing the Heart Rate
C. Stimulating the Sympathetic Nervous System
E. Controlling tissue use of fats, proteins, and carbohydrates
8) A patient is admitted with complaints of palpations, excessive sweating, and
unable to tolerate heat. In addition, the patient voices concern about how her
appearance has changed over the past year. The patient presents with protruding
eyeballs and pretibial myxedema on the legs and feet. Which of the following is
the likely cause of the patient's signs and symptoms?
A) Thyroiditis
B) Deficiency of iodine consumption
C) Grave's Disease
D) Hypothyroidism -- Answer ✔✔ C. Grave's Disease
9) A patient who is in her first trimester of pregnancy is diagnosed with
hyperthyroidism. Which medication do you suspect the patient will be started
on?
A) Propylthiouracil (PTU)
B) Radioactive Iodine
C) Tapazole
